Environmental Factors Associated with Acute Diarrhea among Children Under Five Years of Age in Derashe District, Southern Ethiopia

Abstract

Background: Diarrhea alone kills more children than AIDS, malaria, and measles combined. Knowing the determinants of a disease enables us to design an effective intervention. Objective: To identify the factors associated with acute diarrhea among Children less than five Years of Age in Derashe district, south Ethiopia. Methods: A community based unmatched case-control study was employed in rural kebeles of the district. The collected data were entered in Epi Info version3.5.3. Data analyses were done using SPSS for windows version 16.0. Descriptive analysis was used to describe the data. Binary logistic regression analysis was used to measure the association between the dependent variable and independent variables calculating odds ratio and its 95% confidence interval (CI). Statistical significance was set at α. ≤ 0.05. Multivariable analyses were applied to identify the relative effect of explanatory variables on the dependent variable. Results: The study revealed that the occurrence of diarrhea was significantly associated with the lack of latrine ownership (AOR: 2.43, CI:1.19-4.87), lack of home based water treatment (AOR: 2.25, CI:1.43-3.56) improper disposal of infant feces [AOR:3.35, 95% CI (1.45-4.13)]and lack of improved water sources (AOR: 1.98, CI:1.16-2.23).Conclusions and recommendation: The determinants of acute diarrhea in this study were that of high preventive value; latrine ownership, availability of home based water treatment and source of water. The authors of the study recommend health education on different mechanisms in diarrheal disease causation and prevention methods.

Molecular characterization of intestinal protozoan parasites from children facing diarrheal disease and associated risk factors in Yamoussoukro, Cte dIvoire

“…Our results confirmed that of others where sanitation and water sources influence occurrence of diarrheal diseases (Godana and Mengiste, 2013) but we found no significance influence of mother education level on pathogen transmission, contrary to some literature report (Cochrane et al, 1982;Grosse et al, 1989) despite the fact that protozoan parasites were more common in children from mother with no education level.…”

Assessment of Diarrhea and Its Associated Factors in Under-Five Children among Open Defecation and Open Defecation-Free Rural Settings of Dangla District, Northwest Ethiopia

“…This is also in line with ODF verification and certification guideline and CLTSH implementation guideline [14, 15]. The study from the Derashe district of SNNPR also supports this finding in which the odds of developing diarrhea was 2.43 times higher among children of families who had no latrine when compared to children of families who had latrine [16]. …”

“…This could be explained by the fact that households having water shortage could not keep their personal hygiene as necessary. Results from both settings are not comparable with a result from the Derashe district of SNNPR in which diarrhea among children have no statistically significant association with water shortage [16]. …”

Exploring Barriers Related to the Use of Latrine and Health Impacts in Rural Kebeles of Dirashe District Southern Ethiopia: Implications for Community Lead Total Sanitations

“…The majority (71%) of those without sanitation live in rural areas, where 90% of all open defecation (OD) takes place [10]. The order of the magnitude of sanitation and related health context are striking; every year the failure to tackle these problems claim the lives of 1.5 million children and result in severe welfare losses -wasted time, reduced productivity, ill health, impaired learning, environmental degradation and lost opportunitiesfor millions more [5,11,12].…”